Individual
BETHANY MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
801 N GRANT AVE, SUITE B, ODESSA, TX 79761-4045
(432) 614-6228
(432) 614-6272
Mailing address
801 N GRANT AVE, SUITE B, ODESSA, TX 79761-4045
(432) 614-6228
(432) 614-6272
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP128367
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP128367
DPS 80221456
TX
Enumeration date
09/25/2015
Last updated
09/25/2015
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